Latest reports, citations, and penalties from CMS data
Staff members confirmed this setup was intended to prevent the resident from attempting to leave his bed....
The elevated temperatures resulted from a water heater thermostat malfunction....
The facility's Units B and C were particularly affected, with room temperatures ranging from 65 to 69 degrees....
When nursing staff discovered the inhalers during the inspection, they acknowledged the violation....
Inspectors found that safety protocols were not consistently followed, creating unnecessary risks for vulnerable residents....
The broken equipment had a sharp plastic edge protruding from the outer covering where the hard plastic had peeled away, exposing internal wiring....
The January 2025 inspection also revealed that life-saving equipment was not maintained in working condition during a medical emergency....
The Licensed Vocational Nurse on duty confirmed the serious nature of the malfunction....
The facility's failure to maintain proper fall prevention protocols puts vulnerable residents at unnecessary risk....
EDGERTON, WI - Federal inspectors found that Edgerton Care Center, Inc....
On November 14, 2024, **Resident #2 experienced a severe choking episode while eating peanut butter crackers in the facility's communal living room**....
During the May inspection, surveyors documented that the resident's hair remained uncombed across multiple observations spanning two days....
The contamination was found in bathroom sinks throughout multiple units, shower facilities, and main hallway water sources....
The violations centered on staff's failure to properly assess conditions, implement physician orders, and monitor residents for complications....
However, the program lacked proper oversight mechanisms required by federal regulations....
A resident identified as R2 was admitted on October 9, 2024, with an assessment indicating they were at risk for developing pressure injuries....
## **Critical Wound Care Management Failures** Inspectors documented serious breakdowns in wound care protocols for a resident with multiple severe injuries....
However, critical communication breakdowns and procedural failures led to dangerous delays in processing these urgent tests....
Additionally, two CNAs who had been employed for years had not undergone required re-fingerprinting under the state's Rap Back system....
This resident had respiratory failure and required tracheostomy care, making proper oxygen delivery equipment essential for survival....